Healthcare Provider Details
I. General information
NPI: 1740808799
Provider Name (Legal Business Name): BEYOND WOMENS CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2020
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 S LIVERNOIS RD STE A12
ROCHESTER HILLS MI
48307-2579
US
IV. Provider business mailing address
455 S LIVERNOIS RD STE A12
ROCHESTER HILLS MI
48307-2579
US
V. Phone/Fax
- Phone: 248-710-3242
- Fax: 248-710-3247
- Phone: 248-710-3242
- Fax: 586-585-9066
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAPNA
MURTHY
Title or Position: OWNER
Credential: MD
Phone: 248-710-3242